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A nurse is evaluating a postpartum client for potential endometritis.
Which of the following symptoms should the nurse identify as a need for further assessment?

Hematuria

Pelvic pain

Moderate amount of dark red lochia with a bloody odor

Localized area of breast tenderness

Answer and Explanation

The Correct Answer is B

Choice A rationale

Hematuria, or blood in the urine, is not typically a symptom of postpartum endometritis.

Choice B rationale

Pelvic pain is a common symptom of postpartum endometritis. It is often one of the first symptoms to appear, along with lower abdominal pain and uterine tenderness.

Choice C rationale

While a moderate amount of dark red lochia with a bloody odor can be a normal part of the postpartum period, it is not specifically indicative of endometritis.

Choice D rationale

Localized area of breast tenderness is not typically a symptom of postpartum endometritis.

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Correct Answer is C

Explanation

Choice A rationale

The statement about shock waves refers to a different procedure called extracorporeal shock wave lithotripsy, which is used to break up kidney stones and gallstones. It is not related to an oral cholangiogram.

Choice B rationale

An oral cholangiogram does not involve inserting a camera down the throat. This statement seems to refer to an endoscopic procedure, which is different from an oral cholangiogram.

Choice C rationale

This statement is correct. An oral cholangiogram is an X-ray examination of the gallbladder and bile ducts. The patient takes an oral medication that makes these structures more visible on the X-ray.

Choice D rationale

This statement is incorrect. An oral cholangiogram does not involve putting medication into the gallbladder to dissolve stones. This seems to refer to a different treatment approach.

A. Tell the couple that they need to have an abortion within 2 to 3 weeks. B. Discuss options with the couple including amniocentesis to determine if their fetus is affected. C. Refer the couple to a psychologist for emotional support. D. Explain that there is a 50% chance their baby will have the disorder.

Correct Answer is B

Explanation

Choice B rationale

When a couple is found to be carriers of an autosomal-recessive disorder, one of the actions the nurse can take is to discuss options with the couple, including amniocentesis to determine if their fetus is affected. This procedure can provide definitive information about the genetic status of the fetus, allowing the couple to make informed decisions about the pregnancy.

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A nurse is evaluating a postpartum client for potential endometritis.Which of the following symptoms should the nurse identify as a need for further assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is evaluating a postpartum client for potential endometritis.
Which of the following symptoms should the nurse identify as a need for further assessment?